0001209191-23-042780.txt : 20230719 0001209191-23-042780.hdr.sgml : 20230719 20230719180404 ACCESSION NUMBER: 0001209191-23-042780 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230717 FILED AS OF DATE: 20230719 DATE AS OF CHANGE: 20230719 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GGV Capital V L.L.C. CENTRAL INDEX KEY: 0001766305 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41121 FILM NUMBER: 231097697 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 230 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-475-2131 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD STREET 2: BUILDING 4, SUITE 230 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HashiCorp, Inc. CENTRAL INDEX KEY: 0001720671 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] IRS NUMBER: 320410665 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 BUSINESS ADDRESS: STREET 1: 101 2ND STREET, SUITE 700 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 415-301-3227 MAIL ADDRESS: STREET 1: 101 2ND STREET, SUITE 700 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 4 1 doc4.xml FORM 4 SUBMISSION X0508 4 2023-07-17 0 0001720671 HashiCorp, Inc. HCP 0001766305 GGV Capital V L.L.C. 3000 SAND HILL ROAD BUILDING 4, SUITE 230 MENLO PARK CA 94025 0 0 1 0 0 Class A Common Stock 2023-07-17 4 J 0 141155 0.00 D 115546 D Represents a pro rata, in-kind distribution, and not a purchase or sale of securities, by the Reporting Person to its members without additional consideration. GGV Capital V L.L.C., by /s/ Glenn Solomon, Managing Director 2023-07-19